Traumatic intrauterine adhesions

Jones, Warren E.

doi:10.1016/0002-9378(64)90685-4

Cited by 23 publications

(5 citation statements)

References 6 publications

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“…In our case, the needle was inserted transcervically and through the endometrium. Furthermore, a large number of patients with IUAs have no symptoms and clinical examination usually fails to reveal abnormalities . Follow‐up assessment consists of transvaginal ultrasound or magnetic resonance imaging (MRI).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a large number of patients with IUAs have no symptoms and clinical examination usually fails to reveal abnormalities. 10 Follow-up assessment consists of transvaginal ultrasound or magnetic resonance imaging (MRI). The diagnostic ability of IUA transvaginal ultrasound is poor, with 52% sensitivity and 11% specificity; an MRI is merely useful in diagnosing cervical adhesions causing obstruction.…”

Section: Discussionmentioning

confidence: 99%

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Intrauterine adhesion after transvaginal ultrasound‐guided radiofrequency myolysis

Nie

Ding

2015

J of Obstet and Gynaecol

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Transvaginal ultrasound-guided radiofrequency myolysis offers an alternative to surgery for symptomatic uterine myomas, with encouraging efficacy and safety, suggesting low complication rates. This case study describes the first reported intrauterine adhesion after transvaginal ultrasound-guided radiofrequency myolysis. Women who desire further pregnancy should be warned about the particular risk of intrauterine adhesion of radiofrequency myolysis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intrauterine adhesion after transvaginal ultrasound‐guided radiofrequency myolysis

Nie

Ding

2015

J of Obstet and Gynaecol

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“…The exact prevalence is unknown and likely underestimated. Authors have investigated the occurrence following surgery for various conditions: 1.7% in patients with secondary amenorrhea, 6.9% in those with infertility, 2.8% postcesarean delivery, 3.7% following postpartum dilation and curettage (D&C) with up to 23.7% if performed between second and fourth postpartum weeks, 6.4% after D&C for early spontaneous abortion, 30.9% for late spontaneous abortions, up to 24% following hysteroscopic metroplasty, 8% for hysteroscopic myomectomy and 22% for abdominal myomectomy [72][73][74][75][76][77][78][79][80][81]. Hysteroscopy is currently the gold standard for diagnosis.…”

Section: Nch Gelmentioning

confidence: 99%

Update on antiadhesion barriers and therapeutics in gynecological surgery

Dawodu

Baxter

Kim

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Postoperative adhesions remain a clinical challenge to both patients and providers, as they are associated with significant complications and a high economic burden. This article provides a clinical review of currently available antiadhesive agents and promising new therapies that have advanced past animal studies. Recent findings Several agents have been investigated on their ability to reduce adhesion formation; however, there is no widely acceptable option. The few available interventions are barrier agents and while low-quality evidence suggests that they may be more effective than no treatment, there is no general agreement on their overall efficacy. There is an abundance of research on new solutions; however, their clinical efficacy is yet to be determined. Summary Although a wide range of therapeutics have been investigated, majority are halted in animal models with only a select few being studied in humans and ultimately available in the market. Many agents have shown effectiveness in reducing adhesion formation, however, that has not been translated to improvement in clinically relevant outcomes; hence the need for high-quality large randomized trials.

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“…24 In cases with cervical obstruction and retrograde menstruation, hematometra and hematosalpinx can also be visualized on US. 25,26 Typically, IUAs do not have specific physical examination findings, so the diagnosis is usually made by imaging (X-ray hysterosalpingography, 2D and 3D transvaginal US, SIS, and MRI) and/or hysteroscopy. Based on diagnostic techniques and clinical presentation, multiple classification systems have been developed to better characterize IUA, but no classification or grading system has been validated or received universal endorsement at this time, which may reflect deficiencies in all of the proposed systems.…”

Section: Case 2: Intrauterine Adhesionsmentioning

confidence: 99%

Saline Infusion Sonography: Tips and Tricks for Improved Visualization of the Uterine Cavity

Kupešić¹,

Arya²,

Padilla³

et al. 2018

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Saline infusion sonography (SIS), also known as hysterosonography or sonohysterography, is a minimally invasive ultrasound (US) technique that involves infusion of a small volume of sterile saline into the uterine cavity. It acts as a negative contrast medium that delineates hyperechogenic endometrial lining. Contrast enhanced sonographic studies provide high-resolution images of the uterine cavity enabling detection of focal and diffuse intrauterine abnormalities. In addition to visualizing intrauterine lesions, such as endometrial polyps, fibroids, and adhesions, it can assist in differentiating between different types of congenital uterine anomalies. The objective of our article is to assess the diagnostic value, indications, contraindications, and possible complications of SIS. Various clinical scenarios and typical appearances of intrauterine, endometrial, and subendometrial lesions detected by SIS are illustrated and compared with hysteroscopy images and/or macroscopically similar surgical pathology specimens. The literature on SIS is reviewed and authors discuss case-specific pitfalls and technical challenges that may lead to patient discomfort, poor image acquisition, incomplete assessment, and wrong interpretation of the images.

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Traumatic intrauterine adhesions

Cited by 23 publications

References 6 publications

Intrauterine adhesion after transvaginal ultrasound‐guided radiofrequency myolysis

Intrauterine adhesion after transvaginal ultrasound‐guided radiofrequency myolysis

Update on antiadhesion barriers and therapeutics in gynecological surgery

Saline Infusion Sonography: Tips and Tricks for Improved Visualization of the Uterine Cavity

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